Patient: Drug name: hypertension medication: asialin enteric tablets, anilab, xinran. Dosing instructions: Checked out of hypertension in January this year, now combined medication: take once a day in the morning. (3 capsules) Now the blood pressure is basically controlled. Take the medication for about 4 months. There are no symptoms after taking the medicine. Last month, I felt a little chest pain and tightness, (usually there) so I went to the hospital and asked for a CT scan of the chest, and then had blood tests. On the same day, fasting blood sugar: 9,2 After glucose: 17,9 (I have uploaded the report), the doctor concluded that I was a type 2 diabetic. I was prescribed a medicine: Vulaid, but I didn’t use it. After controlling my diet and exercising, I measured at home: between 6,8-7,8 on fasting and between 6,8-8,6 after exercise two hours after meals (brisk walking every night). 2. Can I control my condition by diet and exercise alone without medication? 3.What should I pay special attention to in my daily life now? (I haven’t smoked for more than a year.) Thank you! Chen Qinda, Department of Endocrinology, Shanghai Ruijin Hospital: Your diagnosis of diabetes should be confirmed, because fasting blood sugar, 2-hour postprandial blood sugar and glycosylated hemoglobin all meet the criteria for diabetes. Of course, it is better to measure again later to confirm the diagnosis. As long as there is an interval of two laboratory tests with blood glucose exceeding the standard, diabetes can be diagnosed. If you have obvious symptoms of three excesses and one deficiency, one abnormal lab test can also be diagnosed. In the early stage of diabetes, if the pancreatic islet function is good, you can control blood sugar by diet and exercise alone, but you must reach the standard of normal blood sugar, that is, fasting blood sugar should be less than 6.1, and 2 hours after meal less than 7.8. According to your current self-test, your fasting blood sugar is still high, so it means that your blood sugar is not completely normal by non-drug methods alone. You can either strengthen your diet and exercise, or use a little medication to help you. There are many things to pay attention to in diabetes. It is best to take part in diabetes education and have a professional diabetes nurse instructor to guide you in your daily life. Patient: Thank you very much Dr. Chen for your prompt reply! I would like to ask again: 1. “Of course, it is better to measure again later to confirm the diagnosis”, how much time do you usually measure again? (I don’t have any symptoms, and this test is accidental.) 2. Now that I have just started to control my diet and exercise, I wonder if it is because my fasting blood sugar did not reach the standard for a long time at the beginning. If the blood sugar still meets the standard after observing for a long time, will it affect the treatment of the disease if the medication is used again? 3. “Either use a little medicine to help you.” Please use the drug is not a lifetime? (I’m afraid of medication, because of high blood pressure has taken three kinds of drugs such as then take blood sugar drugs is not to increase the burden on the liver?) Is diabetes education available online at your hospital? Chen Qinda, Department of Endocrinology, Shanghai Ruijin Hospital: 1. The interval is usually about two weeks. 2, of course the time is relatively short, blood glucose may not have completely fallen to normal. But generally 1-2 months should be able to come down. If it does not drop to normal, you should take other necessary measures. It is also very important to note that clinical studies have shown that diet control or exercise alone, or one type of oral medication, cannot control blood sugar well after several years, and blood sugar may be good at first and then gradually increase. So it is important to monitor your blood sugar at all times and to take other measures once you notice an increase. Diabetes is a chronic, long-term disease that, like high blood pressure and heart disease, generally requires lifelong medication. Because your pancreatic function is going to get worse and worse, even if you don’t start taking medication, you may still have to rely on medication to help you later, or even need insulin therapy. Diabetes education is available in our clinic for appointments, not online, sorry.